Role of ARMS2/HTRA1 risk alleles in the pathogenesis of neovascular age-related macular degeneration

IF 1 Q4 OPHTHALMOLOGY Taiwan Journal of Ophthalmology Pub Date : 2024-01-29 DOI:10.4103/tjo.tjo-d-23-00152
Yang Pan, Takeshi Iwata
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Abstract

Age-related macular degeneration (AMD) is one of the leading causes of severe irreversible blindness worldwide in the elderly population. AMD is a multifactorial disease mainly caused by advanced age, environmental factors, and genetic variations. Genome-wide association studies (GWAS) have strongly supported the link between ARMS2/HTRA1 locus on chromosome 10q26 and AMD development, encompassing multiple variants, rs10490924 (c.205G > T, p.A69S in ARMS2), insertion/deletion (del443/ins54 in ARMS2), and rs11200638 (in HTRA1 promoter region). In this comprehensive review, we provide an overview of the role played by ARMS2/HTRA1 risk alleles in neovascular AMD pathogenesis, covering GWAS, in vitro studies, and animal models, shedding light on their underlying molecular genetic mechanisms. Further extensive research is also imperative, including confirmation of these findings, identifying novel treatment targets, and advancing primary and secondary prevention strategies for AMD.
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ARMS2/HTRA1 风险等位基因在新生血管性老年黄斑变性发病机制中的作用
老年性黄斑变性(AMD)是导致全球老年人群严重不可逆失明的主要原因之一。AMD 是一种多因素疾病,主要由高龄、环境因素和基因变异引起。全基因组关联研究(GWAS)有力地证明了染色体 10q26 上的 ARMS2/HTRA1 位点与 AMD 发病之间的联系,其中包括多个变异,如 rs10490924(c.205G > T,ARMS2 中的 p.A69S)、插入/缺失(ARMS2 中的 del443/ins54)和 rs11200638(HTRA1 启动子区域)。在这篇综述中,我们概述了 ARMS2/HTRA1 风险等位基因在新生血管性黄斑变性发病机制中的作用,涵盖了全球基因组研究、体外研究和动物模型,揭示了其潜在的分子遗传机制。进一步的广泛研究也势在必行,包括证实这些发现、确定新的治疗目标以及推进 AMD 的一级和二级预防策略。
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来源期刊
CiteScore
1.80
自引率
9.10%
发文量
68
审稿时长
19 weeks
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